Individual
ANN BRUCKELMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
195 TANGLEWOOD DR, GLEN ELLYN, IL 60137-7843
(630) 545-0795
(630) 545-0781
Mailing address
195 TANGLEWOOD DR, GLEN ELLYN, IL 60137-7843
(630) 545-0795
(630) 545-0781
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
149009205
IL
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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